stroke iai tulungagung qibti2012
TRANSCRIPT
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CURRICULUM VITAE
Nama : Mariyatul Qibtiyah, S.Si, Apt, SpFRS
Alamat Rumah : Jl. Mejoyo I / 23 Kaliru!"ut # Surabaya
$elp. %3'()(&3%
*+. %'& %3)3%%
-mail : mibtiyah0yahoo.1omAlamat Kator : Italai Farmai RS4 4r. Soetomo
Jl. Mayje +ro5. 4r. Moetopo 6 7 ' Surabaya
$elp. %3%&'&
Jabata :Sta5 Apote"er Italai Farmai RS44r.Soetomo
Ka. it +elayaa Farmai IRNA Aa"
&
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Ri8ayat +e9i9i"a :
# ulu Sarjaa Farmai#NAIR th &))(
# ulu Apote"er # NAIR th &))
# ulu Speiali Farmai Rumah Sa"it# NAIR th 2%%&
Ri8ayat +e"erjaa :
Sta5 RS4 4r.Soetomo eja" th &))6
Saat ii bertu!a eba!ai :
Super;ior Farmai Klii"
Super;ior +KRS M, ?A@A
4oe tamu pro!ram ma!iter 5armai "lii" NAIR, A4
Ri8ayat r!aiai :
+e!uru *ISFARSI#JA$IM
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Auha Ke5armaia
Maajeme Stro"e
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!iri
!anan
L"gi#Matemati#
$akta
Irama%Suara
&arna
'ertan(a
!reati)ita#
*era#aan
Imagina#i
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ERAHHIJAUBIRUHITA
UNGU KUNING PUTIHBIRU
COKELAT ERAHHIJAU
ORANYEHITA KUNING
BIRU ERAHHITA
COKELATORANYEJINGGA
KUNING PUTIHHIJAU
BIRU
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4ata .....
A!"a "ematia 1u"up ti!!ira"i! 3 20+ uia pro9u"ti5
Setiap tahu era!a tro"e e"itar -uta ora! 9i eluruh 9uia
4i Ameri"a Seri"at, lebih "ura! -utaora! perah me!alami tro"e
4i I!!ri, ter9apat 20 ribu ora! hi9up9e!a "e1a1ata "area tro"e
4i Aia I9oeia, etiap tahu
9iper"ira"a lebih 00 ribu ora!me!alami era!a tro"e
Rei"o Stro"e berula! 3%#(C 9alam8a"tu th
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Cerebrum 7 itelle1t, pee1h, emotio, eory,mo;emet
Cerebellum7 bala1e, 1o#or9iatio'rain #tem 7 repiratio, heart rate, bloo9 preure,8a"e5ule
Cerebrum # le5t hemiphere 7 pee1h a9 la!ua!e
D
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*o8 9o you "o8 i5 omeoe iha;i! a tro"eE
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Stro"e(WHO e!nition"
A neurological de!cit (usually loss of function"caused by reduction in blood supply to the brain#
$his is usually because a blood %essel bursts oris bloc&ed by a clot# $his a'ects the supply ofoygen and nutrients) causing damage to thebrain tissue.
)
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I#tila. Transient Ischaemic Attack (TIA)7 #erangan
"tak i#kemik #epinta# /SS1: 4eit eurolo!i"5o"al terja9i me9a9a" 9a pulih 9alam 8a"tu"ura! 9ari 2( jam
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iagn"#i#
&&
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Cerebralin3ar4t
Cerebral.aem"rr.ag
e
iagn"#i# 5 #tr"ke t(pe
STR!E
CTscan
&2
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&3
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S$RK-
Str"ke i#kemik
alira9arah "e ota" terheti "areaatero"leroi
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Fa"tor Rei"o
4iabete*yperteio
Smo"i!
i5e tyle4ietBholeterol
*eart 9ieae atrialbrillatio
$raiet i1haemi1 atta1" &
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*rin#ip *eng"batan
Se1o9ary+re;etioA1ute
&6
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A4ute treatment
$hrombolyi
Atiplatelet
Neuroprote"ta
?loo9 preure
*y9ratio
Gy!e ?loo9 !lu1oe
$emperature
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T.r"mb"l(#i# Itra;eou re1ombiat
tiue plamio!e a1ti;ator
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Antiplatelet#
A1etoal &%%#3%% m!/hr 9iberi"a eja"a8al
Blopi9o!rel D m!/hr Kombiai A1etoal 2 m! L 4ipiri9amol
2%% m!
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Antiplatelet#
2%
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Neuroprote"ta
Meli9u!i euro 9ari "ematia el
a"ibat i"emia
4apat 9iberi"a eja" 9ii
Botoh :
Biti1oli +ira1etam
+ro '#Hly )#+ro &% AB$*
2&
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Se4"ndar( *re)enti"n Treatment +e1e!aha tro"e
9imulai maG D hr pa1aera!a a"ut/ $IA
+erubaha !aya hi9up :
Stop Ro"o" lah ra!a teratur
4iet 9a ?? euai
Me!ura!i "oumi!aram
*i9ari al"oholberlebiha
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Se4"ndar( *re)enti"n Treatment
Kotrol $e"aa 9arah$erapi atihipertei
Kotrol !ula 9arah$erapi ati9iabet 1e!ah
"ompli"aimi"ro/ma"ro;a"ular
Kotrol "oleterol
1e!ah athero"leroi
$erapi atitromboti" +ea!aa teoi "aroti
Steoi arteri "aroti berat-9artere"tomi "aroti
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Se1o9ary +re;etio $reatmet< Atitromboti" =
+emiliha atiplatelet 9ipertimba!"a 5a"tor rii"o,tolerai, "ea9aa "lii
Atiplatelet me!ura!i rii"o tro"e ula! p9 tro"e
i"emi"/ $IA o#"ar9ioemboli"
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Se1o9ary +re;etio $reatmet< Ati"oa!ula =
Ati"oa!ula t9" 9iberi"a ebelumpe1itraa ota" meyi!"ir"a "emu!"ia
per9araha Ati"oa!ula mulai 9iberi"a pa9a pe9erita
9! perite/ paroGymal atrial brilai, "e1ter9apat "otrai9i"ai
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Statin#
Stati e1ara i!i"a
me!ura!i rii"o relati5 tro"ei"emi" ebear 2&C
-5e" terja9i tapa pei!"atahaemorrhagic stro&e
Stati me!ura!i "eja9ia"oroer 9a emua peyebab"ematia
-5e" terja9i terlepa 9ari ti!"at9aar "oleterol
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Stati
Re4"mmendati"n#6
Stati 9ireep"a utu" paie ya! me!alamitro"e i"emi" terlepa 9ari "a9ar "oleterol
&.i4. #tatin7
Sim;atati (% m! 7 hi!h ri" 1oroary e;et
Ator;atati '% m! 7 $IA / i1haemi1 tro"e
Shoul9 ot be ue9 i patiet 8ith a prior hitory o5itra1erebral haemorrha!e
2D
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Atihipertei
Sa!at berhubu!a, pe!ura!a $4 9a pe1e!aha primertro"e
E)iden4eSytemati1 re;ie8
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Se1o9ary +re;etio o5 I1haemi1 Stro"e
Apiri L 4ipyri9amole or Blopi9o!rel Dm! ar5ari
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(dr"9(gen *lu# 6 arapan'aru 'agi Str"ke
?ear"ah E +ei!"ata jumlah
"i!e ota"perbai"a
5u!i ota" Atio"i9a
"uatmeetraliir ra9i"albeba
Me!ura!i pla" peyebabpeyumbata pembuluh9arah
Mampu memperbai"iprol lema" 9arah
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*.arma4i#t R"le
+harma1euti1al 1are+ubli1 health, e9u1atio a9i5ormatioReear1hMulti9i1ipliary team memberhip
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*.arma4euti4al Care
+emberia i5ormai "epa9apaie
Keiambu!a pera8ata
Me!ura!i "ealahape!obata
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4iability
4yphaia Aphaia
4ypha!ia Apha!ia
*emiparei
*emiple!i1
*emiaopia
?i1ara
Meela
Kelemaha
Kelumpuha
Keulita Oiual
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+harma1euti1al Bare Iue
Spee1h
Bompreheio
S8allo8
Bommui1atio/1ouelli!
Barer
Ability to ta"e
me9i1ieapiratio ri" a9liui9
5ormulatio
bioa;ailability e!pheytoi
NH a9 +-H tube5ee9i!
3(
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+harma1euti1al Bare Iue
&eakne## "rparal(#i#
Oiual problem
Ability to operate9e;i1e
ihaler, iuli
Ability to ope1otaier
Ability to rea9itru1tio
label, leaPet, 1hart
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+ubli1 *ealth, e9u1atio a9i5ormatio
A8aree a9 promotio
+ubli1 *ealth 1ampai!
Ri" 5a1tor a1tio to ta"e
Stro"e I9eti1atio$AST te#t
i5etyle a9;i1e mo"i!, 8ei!htlo/9iet, ;itami
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>hat i $AST E
$ a4ial :eakne## ?ia eyumE Ko9ii mata 9a mulut E
A rm :eakne## ?ia me!a!"at "e9ua
le!a E
S pee4. pr"blem# ?ia bi1ara jela 9a
memahami apa ya! a9a"ata"a E
T e#t 5 all 3
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Reear1h
Au9it reep terha9ap "epatuha pe9oma tro"e, me#9eai 9a e;aluai mo9el pelayaa 5armai
-;aluai reep e1ara prope"ti5 pa9a paie 9i uit
tro"e terha9ap pe9oma 9a pe!emba!a re1aaauha "e5armaia
-;aluai reep e1ara retrope1ti;e pa9a paie ya!
ama
Me!i"uti per"emba!a paie etelah KRS utu"pera8ata 9i luar RS
3'
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Multi9i1ipliary team memberhip
SIHN 7 S1ottihIter1olle!iate Net8or"
Maa!e9 Blii1al Net8or"5or Stro"e
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IAI...IAI....
I"ata Apote"er I9oeiaSampe" tu8e"... ampe" ele"....
$etap hebat 9a ema!atepaja! maa
IAI Ja8a $imur..... *ebat...
IAI $ulu!a!u!..... 4ayat...(%
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$ime i ?rai
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